Volunteer Registration Form

Full Name *

Phone *

Email *

State *

Availability *

Any Time
9-12
12-3
Full Time

Area of Interest *

Registration Activity/Gift Monitor
Floater
Decorations
Set Up
Food First Aid
Clean up
Sanitation Drinks
Troop Letter Writing
Registration Activity/Gift Monitor

Any Special Talent?

Comment

Checkboxes

✴ Authorization and Acknowledgement, I look forward to sharing my time and talents with A Barry Safe Place, Inc. (hereafter referred to as “ABSPI") In serving as a volunteer, I recognize that my actions may reflect on ABSPI, therefore, I promise to act in a professional, respectful manner at all times. I agree to comply with all policies & procedures and to support the mission of ABSPI. To serve without remuneration for my services. I understand I am not an employee, I am a volunteer, ABSPI can terminate my volunteer status at any time, with or without cause. I also understand that, while volunteering I acknowledge that participant's information is confidential and cannot be disclosed, shared or repeated. You are entering an area where photography, audio, and video recording may occur. I acknowledge & grant permission to be photographed, interviewed, audiotaped or videotaped, which will be used as it deems fit, in ABSPI sole discretion. I understand ABSPI shall own all intellectual property rights, if any, arising in connection therewith, and I further agree and acknowledge that I shall not receive (or be entitled to receive) any compensation from ABSPI for any such usage. I certify the information provided on this form is true and complete to the best of my knowledge and belief; I have not knowingly withheld any pertinent facts or circumstances. I understand any falsifications, misrepresentation or omissions by me in connection with this application may result in my dismissal from the volunteer program.
✴ NON-DISCRIMINATION: A Barry Safe Place, Inc. (ABSPI) complies with applicable Federal civil rights laws and does not discriminated, exclude nor treat individuals differently based on race, color, national origin, age, disability, or sex.
✴ COVID 19 ADVISORY: We are committed to giving you a peace of mind when you attend our events, your/our safety and well-being, remains top priority. ALL events adhere to CDC COVID-19 guidelines - including, but not limited to wearing mask/face covering, hand sanitizing, and social distancing at least 6-feet apart. We will continue monitoring recommendations from the WHO, CDC, and elected officials to remain up to date on the latest information and safety protocols

CONNECT WITH US

Volunteer Registration Form
Event Registration Form

CONTACT US

A Barry Safe Place, Inc.
P. O. Box 1045
Palm Beach, Florida 33480
Email: abarrysafeplace@yahoo.com

SUPPORT

Facebook Twitter Instagram YouTube

Go to Top